ABSTRACT
Case formulation and case conceptualisation refer to the process of devising an explanatory model, tailored to each individual client, that accounts for the development and maintenance of their problems, and identifies strategies through which constructive change can occur. Case formulation provides a valuable way to develop a coherent understanding of the client's problems, offer the client a way of making sense of their difficulties and arrive at some kind of action plan that makes best use of the time available for therapy. The physical act of sitting side by side, working together on a case formulation diagram, can strengthen the process of collaboration and also make it easier for the client to disagree with the therapist. Pluralistic case formulation supports a collaborative therapeutic relationship by staging a therapeutic event or ritual in which the therapist puts their cards on the table in a way that is demonstrably open to correction and energetically curious about the client's way of seeing things.
